cms_WV: 176

In collaboration with The Seattle Times, Big Local News is providing full-text nursing home deficiencies from Centers for Medicare & Medicaid Services (CMS). These files contain the full narrative details of each nursing home deficiency cited regulators. The files include deficiencies from Standard Surveys (routine inspections) and from Complaint Surveys. Complete data begins January 2011 (although some earlier inspections do show up). Individual states are provides as CSV files. A very large (4.5GB) national file is also provided as a zipped archive. New data will be updated on a monthly basis. For additional documentation, please see the README.

Data source: Big Local News · About: big-local-datasette

This data as json, copyable

rowid	facility_name	facility_id	address	city	state	zip	inspection_date	deficiency_tag	scope_severity	complaint	standard	eventid	inspection_text	filedate
176	ST. BARBARA'S MEMORIAL NURSING HOME	515012	PO BOX 9066	FAIRMONT	WV	26555	2019-07-10	756	F	0	1	5N8D11	Based on policy review and staff interview, the facility failed to develop and maintain policies and procedures for the monthly drug regimen review that include time frames for physician notification and response of drug irregularities. This practice has the potential to affect all residents. Facility census: 53. Findings included: a) On 07/09/19 at 2:00 PM, review of the facility policy titled Medication Regimen Review with an implemented date of 12/06/18 and reviewed/revised date of 03/19/19, states the following (typed as written): 5. The pharmacist shall communicate any irregularities to the facility in the following ways: a. Verbal communication to the attending physician, Director of Nursing (DON), and/or staff of any urgent needs. b. Written communication to the attending physician, the facility's Medical Director, and the Director of Nursing. 6. Written Communications from the pharmacist shall become a permanent part of the resident's medical record. 7. Timelines and responsibilities for the Medication Regimen Review: a. The consultant pharmacist shall schedule at least one monthly visit to the facility, and shall allow for sufficient time to complete all required activities. b. The pharmacist shall communicate any recommendations and identified irregularities via written communication within 10 working days of the review. c. If the pharmacist should identify an irregularity that requires urgent action to protect a resident, the DON or designee is informed verbally. d. Facility staff shall act upon all recommendations according to procedures for addressing medication regimen review irregularities. After review of the facility policy titled Medication Regimen Review on 07/09/19 at 2:30 PM, the DON and the Administrator agreed the facility policy does not contain time frames for physician notification and response of drug irregularities. The Administrator and DON explained the procedure is for the pharmacist to notify the physician by written communication. Both agree the policy should include time frames for the notification and response for the physician. The Administrator stated, The team and I will be determining an appropriate time frame and including it in the facility policy.	2020-09-01